Diabetes Flashcards
manually systolic pressure is read when you hear phase 1, what sound is this
tapping
diastolic pressure is read when what sound ends and then comes silence
blowing sound
before measuring bp you should ensure that the patient is relaxed by allowing them x mins to relax
5
how should the patient sit for bp measurement
upright
arm at heart height
feet flat on floor
what should you use on a bp cuff to ensure that the patients arm comes within the range
index line
what 3 equipment do you need for manual bp?
- A stethoscope
- An appropriately sized blood pressure cuff
- A sphygmomanometer
it is important to palpate which artery so that the corresponding marker on the cuff points to it
brachial
when the bp has inflated enough to stop blood flow what should you hear
nothing
if a persons normal bp is unknown what systolic can you inflate to
160-180
you should take bp readings in both arms and average them, to check the pressure again how long should you wait between readings for accuracy
5 mins
equipment used for diabetic foot check
10g monofilament, a 128Hz tuning fork, ultrasound gel and a
doppler
Examine both feet in foot check for what?
cyanosis
necrosis
hair growth
fungal infection
temp
where do you put the microfilament?
5 spots: bottom of first and third toe
under 1st 3rd and 5th toe
where do you put tuning fork?
on bony aspect, under big toe
what do diabetic foot checks test for
neuropathy
why would you check the feet for hair growth
shows perfusion
which pulses would you palpate on the feet
dorsalis pedis and posterior tibial
you can use quick capillary refill time on the toes and after 5 seconds of pressing normal colour should return in x seconds
2
if a patient cannot feel the tuning fork what might that indicate
neuropathy
the tuning fork is important to check for bone conduction hence its placement and also ensure what infection isnt present
osteomyelitis
what is used for asculatation of the feet
doppler
the gel size amount applied to the foot for doppler is the same as what coin
50p
what is the glucose level for a non diabetic before meals
4-5.9 mmol/l
what is the glucose level for a non diabetic after meals (at least 90 mins)
under 7.8 mmol/l
